Evaluation of a fellowship abroad as part of the initial training of the French military surgeon

Choufani, Camille; Barbier, Olivier; Demoures, Thomas; Laurent, Michel; Rigal, Sylvain

doi:10.1136/jramc-2019-001303

Cited by 6 publications

(2 citation statements)

References 19 publications

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“…Some content was about personal safety and security [ 49 , 50 , 55 , 204 – 206 , 208 , 209 ], waste management [ 66 , 212 , 299 ], mental health [ 95 , 105 , 166 , 172 , 177 , 213 , 221 , 235 , 259 , 277 , 293 ], infection control and prevention [ 139 , 168 , 241 , 264 , 302 ], pest control [ 65 , 66 , 70 , 212 , 216 , 299 ], triage [ 16 , 62 , 91 , 94 , 207 , 271 , 290 ] and stress management [ 31 , 182 , 270 ]. A smaller number of curricula included surgical training [ 98 , 99 , 165 , 323 ], time management [ 223 ], stigma [ 269 ], language and local culture [ 20 ], humanitarian law and leadership [ 102 ], chemical incidents [ 214 ] and dealing with ethical dilemma...…”

Section: Resultsmentioning

confidence: 99%

Learning interventions and training methods in health emergencies: A scoping review

Utunen,

Balaciano,

Arabi

et al. 2024

PLoS ONE

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Background Keeping the health workforce and the public informed about the latest evolving health information during a health emergency is critical to preventing, detecting and responding to infectious disease outbreaks or other health emergencies. Having a well-informed, ready, willing, and skilled workforce and an informed public can help save lives, reduce diseases and suffering, and minimize socio-economic loss in affected communities and countries. Providing “just in time” support and opportunities for learning in health emergencies is much needed for capacity building. In this paper, ‘learning intervention’ refers to the provision of ad-hoc, focused, or personalized training sessions with the goal of preparing the health workers for emergencies or filling specific knowledge or skill gaps. We refer to ‘training methods’ as instructional design strategies used to teach someone the necessary knowledge and skills to perform a task. Methods We conducted a scoping review to map and better understand what learning interventions and training methods have been used in different types of health emergencies and by whom. Studies were identified using six databases (Pubmed/Medline, Embase, Hinari, WorldCat, CABI and Web of Science) and by consulting with experts. Characteristics of studies were mapped and displayed and major topic areas were identified. Results Of the 319 records that were included, contexts most frequently covered were COVID-19, disasters in general, Ebola and wars. Four prominent topic areas were identified: 1) Knowledge acquisition, 2) Emergency plans, 3) Impact of the learning intervention, and 4) Training methods. Much of the evidence was based on observational methods with few trials, which likely reflects the unique context of each health emergency. Evolution of methods was apparent, particularly in virtual learning. Learning during health emergencies appeared to improve knowledge, general management of the situation, quality of life of both trainers and affected population, satisfaction and clinical outcomes. Conclusion This is the first scoping review to map the evidence, which serves as a first step in developing urgently needed global guidance to further improve the quality and reach of learning interventions and training methods in this context.

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Section: Resultsmentioning

confidence: 99%

Learning interventions and training methods in health emergencies: A scoping review

Utunen,

Balaciano,

Arabi

et al. 2024

PLoS ONE

View full text Add to dashboard Cite

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“…Others have echoed the ongoing challenge of maintaining competency in the full range of procedures required in the deployed surgical role21 while delivering services within an increasing subspecialised civilian health service 22 23. One suggestion to help mitigate this is trauma-focused fellowships to overseas nations where surgical practice is more generalist, at a relatively early stage in training 24. Other authors have noted that standardised cadaver-based surgical skills, as well as virtual reality simulation training, can be effective in improving the procedural skills required for the deployed trauma surgeon 16 17…”

Section: Discussionmentioning

confidence: 99%

Acquisition and retention of military surgical competencies: a survey of surgeons’ experiences in the UK Defence Medical Services

et al. 2022

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IntroductionThe acquisition and retention of militarily relevant surgical knowledge and skills are vital to enable expert management of combat casualties on operations. Opportunities for skill sustainment have reduced due to the cessation of combat operations in Iraq and Afghanistan and lack of military-relevant trauma in UK civilian practice.MethodsA voluntary, anonymous online survey study was sent to all UK Defence Medical Services (DMS) surgical consultants and higher surgical trainees in Trauma and Orthopaedics, Plastic and Reconstructive, and General and Vascular surgical specialties (three largest surgical specialties in the DMS in terms of numbers). The online questionnaire tool included 20 questions using multiple choice and free text to assess respondents’ subjective feelings of preparedness for deployment as surgeons for trauma patients.ResultsThere were 71 of 108 (66%) responses. Sixty-four (90%) respondents were regular armed forces, and 46 (65%) worked in a Major Trauma Centre (MTC). Thirty-three (47%) had never deployed on operations in a surgical role. Nineteen (27%) felt they had sufficient exposure to penetrating trauma. When asked ‘How well do you feel your training and clinical practice prepares you for a surgical deployment?’ on a scale of 1–10, trainees scored significantly lower than consultants (6 (IQR 4–7) vs 8 (IQR 7–9), respectively; p<0.001). There was no significant difference in scores between regular and reservists, or between those working at an MTC versus non-MTC. Respondents suggested high-volume trauma training and overseas trauma centre fellowships, simulation, cadaveric and live-tissue training would help their preparedness.ConclusionsThere was a feeling among a sample of UK DMS consultants and trainees that better preparedness is required for them to deploy confidently as a surgeon for combat casualties. The responses suggest that UK DMS surgical training requires urgent attention if current surgeons are to be ready for their role on deployed operations.

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Military Orthopedic Surgeons Are Not Just Traumatologists

et al. 2021

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Introduction Each French military orthopedic surgeon is both an orthopedic surgeon and a trauma surgeon. Their mission is to support the armed forces in France and on deployment. The aim of this study was to describe the type of orthopedic surgery performed for the armed forces in France. Our hypothesis was that scheduled surgery was more common than trauma surgery. Methods We conducted a retrospective descriptive analysis of the surgical activity for military patients in the orthopedic surgery departments of the four French military platform hospitals. All surgical procedures performed during 2020 were collected. We divided the procedures into the following categories: heavy and light trauma, posttraumatic reconstruction surgery, sports surgery, degenerative surgery, and specialized surgery. Our primary endpoint was the number of procedures performed per category. Results A total of 827 individuals underwent surgery, 91 of whom (11%) were medical returnees from deployment. The surgeries performed for the remaining 736 soldiers present in metropolitan France (89%) consisted of 181 (24.6%) trauma procedures (of which 86.7% were light trauma) and 555 (75.4%) scheduled surgery procedures (of which 60.8% were sports surgery). Among the medical returnees, there were 71 traumatology procedures (78%, of which 87.3% were light traumatology) and 20 procedures corresponding to surgery usually carried out on a scheduled basis (22%, of which 95% were sports surgery). Conclusion Military orthopedic surgeons are not just traumatologists; their activity for the armed forces is varied and mainly consists of so-called programmed interventions.

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Evaluation of a fellowship abroad as part of the initial training of the French military surgeon

Cited by 6 publications

References 19 publications

Learning interventions and training methods in health emergencies: A scoping review

Learning interventions and training methods in health emergencies: A scoping review

Acquisition and retention of military surgical competencies: a survey of surgeons’ experiences in the UK Defence Medical Services

Military Orthopedic Surgeons Are Not Just Traumatologists

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